Healthcare Provider Details

I. General information

NPI: 1497735211
Provider Name (Legal Business Name): ROBERT F HABER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 N CENTER ST FOOT HEALTH CENTER OF HICKORY
HICKORY NC
28601-3760
US

IV. Provider business mailing address

1208 N CENTER ST FOOT HEALTH CENTER OF HICKORY
HICKORY NC
28601-3760
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-1391
  • Fax: 828-322-1392
Mailing address:
  • Phone: 828-322-1391
  • Fax: 828-322-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number246
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number246
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: